NPI 1992114151 · live from the CMS NPI Registry
Active Edge Chiropractic & Rehab INC
Chiropractor in Quincy, IL. National Provider Identifier 1992114151, active.
NPI record
| NPI | 1992114151 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1024 Maine St, Quincy, IL 62301 |
| Practice phone | 217-222-6500 |
| Enumerated | August 12, 2014 |
| Last updated | September 23, 2025 |
| Authorized official | James Johnson, Chiropractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 038.012516 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.